inclisiran 🐶 Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
small interfering RNA including siRNA, miRNA and piRNA 5498 1639324-58-5

Description:

MoleculeDescription

Molfile

Synonyms:

  • inclisiran
  • leqvio
  • ALN-PCSsc
  • ALN-60212
  • KJX-839
  • PCSK9si
Inclisiran is a double-stranded small interfering ribonucleic acid (siRNA), conjugated on the sense strand with triantennary N-Acetylgalactosamine (GalNAc) to facilitate uptake by hepatocytes. In hepatocytes, inclisiran utilizes the RNA interference mechanism and directs catalytic breakdown of mRNA for PCSK9. This increases LDL-C receptor recycling and expression on the hepatocyte cell surface, which increases LDL-C uptake and lowers LDL-C levels in the circulation.
  • Molecular weight:
  • Formula:
  • CLOGP:
  • LIPINSKI: None
  • HAC: None
  • HDO: None
  • TPSA:
  • ALOGS:
  • ROTB: None

Drug dosage:

DoseUnitRoute
1.60 mg P

ADMET properties:

None

Approvals:

DateAgencyCompanyOrphan
Dec. 9, 2020 EMA Novartis Europharm Limited
Dec. 22, 2021 FDA NOVARTIS PHARMS CORP

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Low density lipoprotein increased 124.09 43.53 25 631 6332 63482034
Myalgia 93.63 43.53 40 616 146489 63341877

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Myalgia 99.94 41.02 38 411 84072 34872410
Low density lipoprotein increased 68.91 41.02 15 434 4421 34952061

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Myalgia 103.43 43.27 41 515 185600 79558232
Low density lipoprotein increased 62.54 43.27 14 542 8608 79735224

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC C10AX16 CARDIOVASCULAR SYSTEM
LIPID MODIFYING AGENTS
LIPID MODIFYING AGENTS, PLAIN
Other lipid modifying agents

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Atherosclerotic cardiovascular disease indication 72092001
Familial hypercholesterolemia - heterozygous indication 238079002




🐶 Veterinary Drug Use

None

🐶 Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

None

Orange Book patent data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRoutePatent numberPatent expiration datePatent use
EQ 284MG BASE/1.5ML (EQ 189MG BASE/ML) LEQVIO NOVARTIS N214012 Dec. 22, 2021 RX SOLUTION SUBCUTANEOUS 10266825 Nov. 4, 2023 AS AN ADJUNCT TO DIET AND STATIN THERAPY FOR THE TREATMENT OF ADULTS WITH PRIMARY HYPERLIPIDEMIA, INCLUDING HETEROZYGOUS FAMILIAL HYPERCHOLESTEROLEMIA (HEFH), BY INHIBITING EXPRESSION OF THE PCSK9 GENE
EQ 284MG BASE/1.5ML (EQ 189MG BASE/ML) LEQVIO NOVARTIS N214012 Dec. 22, 2021 RX SOLUTION SUBCUTANEOUS 11078485 Nov. 4, 2023 AS AN ADJUNCT TO DIET AND STATIN THERAPY FOR THE TREATMENT OF ADULTS WITH PRIMARY HYPERLIPIDEMIA, INCLUDING HETEROZYGOUS FAMILIAL HYPERCHOLESTEROLEMIA (HEFH), BY INHIBITING EXPRESSION OF THE PCSK9 GENE
EQ 284MG BASE/1.5ML (EQ 189MG BASE/ML) LEQVIO NOVARTIS N214012 Dec. 22, 2021 RX SOLUTION SUBCUTANEOUS 9708610 Jan. 1, 2024 AS AN ADJUNCT TO DIET AND STATIN THERAPY FOR THE TREATMENT OF ADULTS WITH PRIMARY HYPERLIPIDEMIA, INCLUDING HETEROZYGOUS FAMILIAL HYPERCHOLESTEROLEMIA (HEFH), BY INHIBITING EXPRESSION OF THE PCSK9 GENE
EQ 284MG BASE/1.5ML (EQ 189MG BASE/ML) LEQVIO NOVARTIS N214012 Dec. 22, 2021 RX SOLUTION SUBCUTANEOUS 8809292 May 10, 2027 AS AN ADJUNCT TO DIET AND STATIN THERAPY FOR THE TREATMENT OF ADULTS WITH PRIMARY HYPERLIPIDEMIA, INCLUDING HETEROZYGOUS FAMILIAL HYPERCHOLESTEROLEMIA (HEFH), BY INHIBITING EXPRESSION OF THE PCSK9 GENE
EQ 284MG BASE/1.5ML (EQ 189MG BASE/ML) LEQVIO NOVARTIS N214012 Dec. 22, 2021 RX SOLUTION SUBCUTANEOUS 8222222 Dec. 29, 2027 AS AN ADJUNCT TO DIET AND STATIN THERAPY FOR THE TREATMENT OF ADULTS WITH PRIMARY HYPERLIPIDEMIA, INCLUDING HETEROZYGOUS FAMILIAL HYPERCHOLESTEROLEMIA (HEFH), BY INHIBITING EXPRESSION OF THE PCSK9 GENE
EQ 284MG BASE/1.5ML (EQ 189MG BASE/ML) LEQVIO NOVARTIS N214012 Dec. 22, 2021 RX SOLUTION SUBCUTANEOUS 10131907 Aug. 24, 2028 AS AN ADJUNCT TO DIET AND STATIN THERAPY FOR THE TREATMENT OF ADULTS WITH PRIMARY HYPERLIPIDEMIA, INCLUDING HETEROZYGOUS FAMILIAL HYPERCHOLESTEROLEMIA (HEFH), BY INHIBITING EXPRESSION OF THE PCSK9 GENE
EQ 284MG BASE/1.5ML (EQ 189MG BASE/ML) LEQVIO NOVARTIS N214012 Dec. 22, 2021 RX SOLUTION SUBCUTANEOUS 8828956 Dec. 4, 2028 AS AN ADJUNCT TO DIET AND STATIN THERAPY FOR THE TREATMENT OF ADULTS WITH PRIMARY HYPERLIPIDEMIA, INCLUDING HETEROZYGOUS FAMILIAL HYPERCHOLESTEROLEMIA (HEFH), BY INHIBITING EXPRESSION OF THE PCSK9 GENE
EQ 284MG BASE/1.5ML (EQ 189MG BASE/ML) LEQVIO NOVARTIS N214012 Dec. 22, 2021 RX SOLUTION SUBCUTANEOUS 9370582 Dec. 4, 2028 AS AN ADJUNCT TO DIET AND STATIN THERAPY FOR THE TREATMENT OF ADULTS WITH PRIMARY HYPERLIPIDEMIA, INCLUDING HETEROZYGOUS FAMILIAL HYPERCHOLESTEROLEMIA (HEFH), BY INHIBITING EXPRESSION OF THE PCSK9 GENE
EQ 284MG BASE/1.5ML (EQ 189MG BASE/ML) LEQVIO NOVARTIS N214012 Dec. 22, 2021 RX SOLUTION SUBCUTANEOUS 8106022 Dec. 12, 2029 AS AN ADJUNCT TO DIET AND STATIN THERAPY FOR THE TREATMENT OF ADULTS WITH PRIMARY HYPERLIPIDEMIA, INCLUDING HETEROZYGOUS FAMILIAL HYPERCHOLESTEROLEMIA (HEFH), BY INHIBITING EXPRESSION OF THE PCSK9 GENE
EQ 284MG BASE/1.5ML (EQ 189MG BASE/ML) LEQVIO NOVARTIS N214012 Dec. 22, 2021 RX SOLUTION SUBCUTANEOUS 10125369 Aug. 18, 2034 AS AN ADJUNCT TO DIET AND STATIN THERAPY FOR THE TREATMENT OF ADULTS WITH PRIMARY HYPERLIPIDEMIA, INCLUDING HETEROZYGOUS FAMILIAL HYPERCHOLESTEROLEMIA (HEFH), BY INHIBITING EXPRESSION OF THE PCSK9 GENE
EQ 284MG BASE/1.5ML (EQ 189MG BASE/ML) LEQVIO NOVARTIS N214012 Dec. 22, 2021 RX SOLUTION SUBCUTANEOUS 10851377 Aug. 25, 2036 AS AN ADJUNCT TO DIET AND STATIN THERAPY FOR THE TREATMENT OF ADULTS WITH PRIMARY HYPERLIPIDEMIA, INCLUDING HETEROZYGOUS FAMILIAL HYPERCHOLESTEROLEMIA (HEFH), BY INHIBITING EXPRESSION OF THE PCSK9 GENE

Orange Book exclusivity data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRouteExclusivity dateDescription
EQ 284MG BASE/1.5ML (EQ 189MG BASE/ML) LEQVIO NOVARTIS N214012 Dec. 22, 2021 RX SOLUTION SUBCUTANEOUS Dec. 22, 2026 NEW CHEMICAL ENTITY

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Proprotein convertase subtilisin/kexin type 9 Enzyme ANTISENSE INHIBITOR IC50 11.54 DRUG LABEL DRUG LABEL

External reference:

IDSource
CHEBI:176399 CHEBI
CHEMBL3990033 ChEMBL_ID
C585830 MESH_SUPPLEMENTAL_RECORD_UI
DB14901 DRUGBANK_ID
018725 NDDF
4041078 VANDF
D11931 KEGG_DRUG
C4307388 UMLSCUI
CHEMBL5095052 ChEMBL_ID
10268 INN_ID
39492511000001108 SNOMEDCT_US
126480325 PUBCHEM_CID
2588243 RXNORM
345011 MMSL
d09728 MMSL
UOW2C71PG5 UNII

Pharmaceutical products:

None